Ecological Engineering and Restoration of Eroded Muddy Coasts in South East Asia: Knowledge Gaps and Recommendations

Ecological engineering (EE) was employed for developing strategies for stabilizing eroded muddy coasts (EMCs). However, there was a limited analysis of these EE strategies with respect to design, performance, and lessons learned. This study employed a critical review for addressing the limitations. There were four EE models designed with different restoration interventions for stabilizing EMCs. The models using active interventions have not been cost-effective in controlling erosion because the interventions failed to achieve their goals or were costly and unnecessary. Of the two passive intervention models, the one with structures constructed from onshore proved to be more cost-effective in terms of construction costs, the survival rate of transplanted seedlings, and levels of sea mud accumulation. Interventions with adequate consideration of the muddy coastal ecological processes and the ecological reasoning for the positioning of these interventions play a crucial role in stabilizing EMCs. A passive restoration model using gradually expanded interventions should be promoted in order to ensure sustainable management of EMCs in the future

Ecological Engineering and Restoration of Eroded Muddy Coasts in South East Asia: Knowledge Gaps and Recommendations

Ecological engineering (EE) was employed for developing strategies for stabilizing eroded muddy coasts (EMCs). However, there was a limited analysis of these EE strategies with respect to design, performance, and lessons learned. This study employed a critical review for addressing the limitations. There were four EE models designed with different restoration interventions for stabilizing EMCs. The models using active interventions have not been cost-effective in controlling erosion because the interventions failed to achieve their goals or were costly and unnecessary. Of the two passive intervention models, the one with structures constructed from onshore proved to be more cost-effective in terms of construction costs, the survival rate of transplanted seedlings, and levels of sea mud accumulation. Interventions with adequate consideration of the muddy coastal ecological processes and the ecological reasoning for the positioning of these interventions play a crucial role in stabilizing EMCs. A passive restoration model using gradually expanded interventions should be promoted in order to ensure sustainable management of EMCs in the future

Medication Adherence in Vietnamese Patients with Cardiovascular and Endocrine–Metabolic Diseases

(1) Background: COVID-19 has significantly affected the quality of life and the medication adherence of patients with chronic diseases. Attitudes towards the disease and preventive measures are the things that need to be considered for patient adherence to medication during the COVID-19 pandemic. We aimed to evaluate the rate and compare the medication adherence and the impact of the COVID-19 pandemic on medication adherence in Vietnamese patients with cardiovascular and endocrine–metabolic diseases. (2) Methods: A cross-sectional study was conducted on outpatients having chronic diseases such as cardiovascular or/and endocrine–metabolic diseases in some southern provinces in Vietnam. In each group of patients, medication adherence was measured and assessed with the General Medication Adherence Scale (GMAS), adjusted and validated in Vietnam. In addition, the study also investigated attitudes and practices to prevent COVID-19. (3) Results: Out of 1444 patients in our study, the level of adherence was recorded in 867 cases, accounting for 61.1%. The group of patients with only cardiovascular disease and patients with only endocrine–metabolic disease had relatively similar compliance rates of 62 and 61.1%, respectively. The leading cause of non-adherence to treatment in all three groups of patients in the study, as assessed by the GMAS, was non-adherence due to financial constraints. Our study showed that 71.6% of patients felt anxious when going to the hospital for a medical examination. However, only 53.7% identified the COVID-19 pandemic as obstructing treatment follow-up visits. The research results showed that the COVID-19 epidemic influences the patient’s psychology with regard to re-examination and treatment adherence, with p coefficients of 0.003 and <0.001, respectively. (4) Conclusion: Medication adherence rates in two disease groups are close, and financial constraint is the fundamental reason for medication non-adherence. Regulatory agencies must take care of people’s welfare to improve adherence in the epidemic context